ERIC J DIERKS MD, DMD
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1265432025- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD, DMD
- Status
- Active
Contact & Location
- Address
- 1849 NW KEARNEY ST, PORTLAND, OR, 97209
- Phone
- (503) 224-1371
- Fax
- (503) 224-0722
Specialties & Taxonomies
Oral & Maxillofacial Surgery
License: OR #D6708
Oral & Maxillofacial Surgery
Primary License: OR #MD16391